PSG Global Solutions Careers
Jersey City, NJ, USA
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The Opportunity
Description
We're looking for a HEDIS Coder/Abstractor , working in Insurance industry in New Jersey .
Review medical records and document to abstract clinical data for HEDIS reporting.
Identify and extract relevant details and data within clinical documentation and make determinations or identify appropriate medical codes.
Utilize resources and reference materials (e.g., on-line sources, manuals) to identify appropriate medical codes and reference code applicability, rules, and guidelines.
Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes.
Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes.
Identify areas in clinical documentation that are unclear or incomplete and generate...